HESI RN · Cultural Competence and Diversity in Nursing
Question 1 of 57
A nurse believes that the best treatment for illness is the use of Western medicine and alternative therapies should not be used for healing. Which of the following best describes what has happened?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 2 of 57
An American nurse says, "I'm not going to change the way I practice nursing based on where the client is from because research shows that Western health care technology and research is best." Which of the following is being demonstrated by the nurse's statement?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 3 of 57
A nurse wants to obtain information on the alternative methods of health care used by a 45-year-old female Hispanic client. Who would be the best person to ask about this?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 4 of 57
States have certain continuing education requirements for persons to renew a nursing
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HESI RN · Cultural Competence and Diversity in Nursing
Question 5 of 57
What action can a nurse take to reduce biases in nurse-client interactions?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 6 of 57
A nurse is a member of an interdisciplinary committee whose goal is to develop a culturally and linguistically competent organization. Which action by the committee would help to meet this goal?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 7 of 57
Congress's legal base for actions in health care includes which of the following? (Select all that apply.)
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HESI RN · Cultural Competence and Diversity in Nursing
Question 8 of 57
A nurse supports the use of traditional home remedies in conjunction with Western medicine to promote healthy behaviors. Which of the following is being demonstrated by the nurse?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 9 of 57
A nurse resigns from a position in a hospital to accept a job in a community setting. After starting the new job, the nurse feels helpless and confused, wondering if this was the right
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HESI RN · Cultural Competence and Diversity in Nursing
Question 10 of 57
The nurse is discussing risk factor modification with a client diagnosed with hypertension. Which client statement does the nurse recognize as representing an external locus of control?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 11 of 57
A local health department provides a hypertension screening to all individuals. Which of the following general categories of health care functions is being used?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 12 of 57
A male nurse stopped crossing his legs while sitting when speaking with specific clients after learning it was offensive to expose the sole of his foot to them. What does this behavior demonstrate?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 13 of 57
A client is crying softly and saying, "What did I do to deserve this punishment, Lord?" Which of the following responses by the nurse would be the most appropriate?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 14 of 57
A newly admitted client from a Hispanic background is hesitant to communicate her symptoms and concerns to the health care team. Which of the following best describes the nurse's aim of conducting a cultural assessment for this client?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 15 of 57
Which level of the cultural environment is being assessed when the nurse asks a client about family rituals and traditions?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 16 of 57
A nurse who works with clients from different cultures wants to understand the invisible elements of
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HESI RN · Cultural Competence and Diversity in Nursing
Question 17 of 57
The nurse is caring for a client who is reluctant to take pain medication, fearing that if they do so others will see them as weak. Which of the following statements best describes how the nurse should initially respond?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 18 of 57
A 40-year-old Bosnian, Muslim woman who does not speak English presents to a community health center in obvious pain. She requests a female health care provider. Through physical gestures, the woman indicates that the pain is originating in either the pelvic or genital region. Which of the following interpreters would be the most appropriate in this situation?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 19 of 57
When teaching a nutrition class to a student group with a large Latino population, the school nurse incorporates foods such as salsa and other healthy dishes familiar to students into the presentation. Which of the following best describes the action taken by the nurse?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 20 of 57
A nurse is working with a member of the military. Which of the following describes the department that provides this person with health care services?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 21 of 57
To meet a client's needs, it is sometimes necessary to integrate into the client's care a culturally relevant practice that lacks scientific utility. Which term describes this action?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 22 of 57
A nurse investigates the interpretation of a state's right to grant abortions. Which of the following branches of government would the nurse be looking at?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 23 of 57
A nurse states that the client has exhibited an explicit cultural behavior. Which of the following has the nurse most likely observed?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 24 of 57
The nurse labels a patient an alcoholic because of his or her ethnicity. Which of the following best describes this action by the nurse?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 25 of 57
A client shares with the nurse that her grandparents immigrated to the United States from Germany. Which of the following best describes what she has disclosed?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 26 of 57
For a bedridden Muslim patient, the nurse rearranges the room and moves the bed so that it faces toward Mecca for the patient's daily prayers. Which of the following is the nurse demonstrating through these actions?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 27 of 57
A nurse is caring for a client from a different cultural background who refuses a certain medication. How can understanding transcultural models and frameworks help the nurse in this situation?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 28 of 57
Hispanics tend to believe that the needs of the family take priority over those of the individual. Which of the following types of cultural variations is being demonstrated?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 29 of 57
Which action by a community health center demonstrates its commitment to providing a welcoming environment for LGBTQIA+ individuals?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 30 of 57
A client with a visual impairment requires information about his medication regimen in accessible formats such as braille or audio recordings. According to the Campinha-Bacote model, which component of the model should the nurse consider when providing information about the medication regimen to the client?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 31 of 57
Asians may perceive illness as disharmony with other forces and that medicine is only able
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HESI RN · Cultural Competence and Diversity in Nursing
Question 32 of 57
A male nurse had a habit of sitting with the lower part of one leg resting over the knee of his opposite leg when collecting a client's history. He stopped doing this around specific clients after being told that they were offended when he exposed the sole of his foot
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HESI RN · Cultural Competence and Diversity in Nursing
Question 33 of 57
Which outcome is a potential consequence of power imbalances in nurse-client interactions?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 34 of 57
A nurse discusses with legislators the importance of passing legislation to ban smoking in all public places. Which of the following is the nurse becoming involved in?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 35 of 57
An American nurse refuses to modify care based on a patient's culture, believing Western medicine is superior. What does this demonstrate?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 36 of 57
A nurse wishes to develop cultural competence. Which of the following actions should the nurse take first?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 37 of 57
A 35-year-old from Russia comes to the United States seeking asylum because of religious persecution in the native country. Which of the following best describes this type of immigrant?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 38 of 57
At a local hospital, the postpartum care policy requires that nurses observe the mother during infant care to assess the mother's ability to care for the new baby and to promote bonding. A new mother expresses concern that in her country, all infant care is provided by other family members so that the mother can rest and recover. Which of the following actions would be taken by a culturally competent nurse?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 39 of 57
A client is crying softly and saying, 'What did I do to deserve this punishment, Lord?' Which of the following responses by the nurse would be the most appropriate?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 40 of 57
Which action can a nurse take to cultivate mindful awareness in interactions with clients?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 41 of 57
What is one effect of the use of block grants?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 42 of 57
A community health nurse has taken the Promoting Cultural and Linguistic Competency Self- Assessment Checklist for Personnel Providing Primary Health Care Services and is reviewing the results. Which action describes how the results of this self-assessment checklist should be utilized?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 43 of 57
A nurse recognizes that although a patient speaks English, the patient is from a culture with which the nurse is unfamiliar.
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HESI RN · Cultural Competence and Diversity in Nursing
Question 44 of 57
A nurse gives detailed information on how to apply for Medicaid to a new mother who moved to the United States from Russia about 10 years ago. The nurse's next client is an African-American mother of newborn twins who worked until the children were born. The nurse does not discuss insurance options at all. Which of the following errors is being made by the nurse?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 45 of 57
A nurse provides health services for women and children in the community. Which of the following provides the provisions to offer these services?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 46 of 57
When a school nurse reports suspected child abuse, there is a breach of confidentiality. Which of the following best describes why this breach is allowed?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 47 of 57
Which concept does the nurse identify as an organizational barrier to culturally competent health care in a community?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 48 of 57
An immigrant who takes metamizole (banned in the United States) for pain may experience life-threatening agranulocytosis. Which of the following actions would be taken by a nurse who employs cultural re-patterning?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 49 of 57
Which is an example of a nurse practicing culturally congruent care?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 50 of 57
A nurse is unable to provide culturally competent care to a population within the community. Which of the following is an effect of this type of care?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 51 of 57
Which of the following statements about race is true?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 52 of 57
A Spanish-speaking family comes to the public health department. No one in the family speaks English, and nobody at the health department speaks Spanish. Which of the following actions should be taken by the nurse?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 53 of 57
What action by a nurse demonstrates cultural humility in client-centered care?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 54 of 57
What is the focus of the Division of Nursing?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 55 of 57
Which action by a nurse promotes a welcoming environment for culturally diverse clients?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 56 of 57
An immigrant takes metamizole, which is banned in the U.S. due to risk of agranulocytosis. A nurse advises the client to use a safer alternative. What is this an example of?
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HESI RN · Cultural Competence and Diversity in Nursing
Question 57 of 57
Which action by a health care organization demonstrates the development of a culturally and linguistically competent plan to meet the needs of diverse populations of the community?
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